First Name *

Last Name *

Phone *

Email *

What is the name of your podcast? *

Please provide a link to your podcast or website. *

Who is your primary audience? *

What is the primary focus of your podcast? *

What topic would you like Eric to discuss? *

Why do you believe Eric would be a good fit for your audience? *

What is the typical format of your show? *

Approximately how long is the interview? *

Will the interview be recorded or streamed live? *

Where is the podcast distributed? *

Is there a specific book, program, area of expertise, or current project you would like Eric to discuss during the interview?